If you are a new patient to us and have already scheduled an appointment, please download, print, and complete the following forms:

New Patient Info & Health History

Notice of Privacy Practices – HIPPA

If you are new to our office, and have had any x-rays taken within the last 5 years at a previous dentist, you will also need to download the Release of Records Consent form. You can either send this form directly to your previous dentist, or you may send it to us and we will take care of the rest for you!

You may choose to bring this paperwork to your appointment, email them to us at, or mail them to us at 470 Highland Ave, Coos Bay OR 97420.